Organization Active NPI

Advanced Wound Solutions

  • Durable Medical Equipment & Medical Supplies
  • Long Island City, NY
National Provider Identifier
1093105348
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2013968 Issued in NY
Legal business name
ADVANCED WOUND SOLUTIONS
Practice address
3724 24TH St
Suite 242
Long Island City, NY 11101-3553
Phone
(718) 606-2590
Fax
(718) 606-6087
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Demetrios Soteropoulos
Title
President
Phone
(917) 921-3772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2013968 NY Primary

Addresses

Primary practice location

3724 24TH St
Suite 242
Long Island City, NY 11101-3553

Mailing address

3724 24TH St
Suite 242
Long Island City, NY 11101-3553
Phone (718) 606-2590

National Provider Directory

National Provider Directory

Locations

3724 24th St
Ste 242
Long Island City, NY 11101
Phone (718) 606-2590

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1093105348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 24TH ST",
            "address_2": "SUITE 242",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013553",
            "telephone_number": "718-606-2590",
            "fax_number": "718-606-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 24TH ST",
            "address_2": "SUITE 242",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013553",
            "telephone_number": "718-606-2590",
            "fax_number": "718-606-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SOTEROPOULOS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-921-3772"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2013968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.